Contraceptive Services

The full range of contraceptive services are offered to our patients and we can also offer implant insertions and removals to our patients and those registered elsewhere. All our GP’s are kept up to date with the latest advice and we are able to support you in choosing the method which best suits you.

Joint Injections

Corticosteroid injections are offered for patients in the surgery for appropriate conditions including osteoarthritis, tennis elbow, golfer’s elbow and carpal tunnel syndrome. Alternative options for management will always be discussed along with the risks and expected benefits.

NHS Health Check

In line with a national programme we offer a free health check for all adults aged 40-75. This involves a lifestyle assessment along with simple blood tests which in part help us to calculate a vascular risk score. We can subsequently offer advice and if appropriate treatment to help reduce the risk of you becoming unwell in the future. Please ask at reception to book for an NHS Health Check. All eligible patients will be invited for this in time but you are welcome to request one sooner if you meet the criteria. Note if you already have a chronic disease and have annual reviews at the surgery this is unnecessary as we already calculate this for you.

Chronic Disease management

We offer our patients with chronic diseases annual health checks with some being reviewed 6 monthly. You will automatically be invited at appropriate times.

The Chronic Disease Register includes patients with:

Diabetes

Ischaemic Heart Disease

Hypertension

Stroke

Heart Failure

Chronic Kidney Disease

COPD

Asthma

Hypothyroidism

Epilepsy

Severe Mental Health Conditions.

Learning Disability

We offer all our patients with moderate or severe learning disability an annual health check to ensure all their health needs are being met to the highest standard possible.

Health Promotion

Stopping Smoking

This is one of the single biggest changes you can make to improve your well being and maintain your health. If you would like help with stopping smoking you can call One You Leeds on 0800 169 4219 or visit the website https://oneyouleeds.co.uk/be-smoke-free/

Cervical Screening

We offer cervical screening for those eligible women invited by the national screening program. Once you have received an invite simply book an appointment with one of our practice nurses.

Family Planning

We offer a range of options for contraception and are happy to discuss all the available options.

Nexplanon

A contraceptive implant providing excellent cover for three years. It is placed under the skin on the inside of the left upper arm under local anaesthetic.

Depo Provera

A 3 monthly injection, given into the top of your buttock, providing good contraceptive cover.

Other Methods of contraception

Combined Oral Contraceptive Pill (the pill)

A variety of different combined pills are available which work well providing you remember to take them. It can be used to help control periods and for treatment of period related problems.

Progesterone Only Pill (the mini pill)

These pills work well providing you remember to take them. They are taken every day, and can be used in many women for whom the combined pill is not suitable.

Contraceptive Patch (Evra)

Essentially the combined oral contraceptive pill used as a patch, these are applied weekly for three weeks followed by a week break.

Contraceptive Ring (Nuvaring)

Essentially the combined oral contraceptive pill in a vaginal ring that is easily placed inside the vagina. Users report ease of use and lack of awareness it is in. It is left in for 3 weeks and then removed for a week break followed by insertion of a new ring.

Condoms

Very useful as protection against sexually transmitted disease but not ideal as a contraceptive alone for preventing pregnancy due to a comparatively high failure rate.

Emergency Contraception

The earlier the better after an episode of unprotected sexual intercourse is the general rule. This is available directly from some chemists. We will endeavour to see you as soon as possible and discuss the options with you, these include a tablet, and insertion of a coil. We will happily discuss ongoing contraception also.

Termination of Pregnancy

In Leeds if you have decided you want to proceed with a termination you can refer yourself to one of the services below. Both these service offer quick acess, can provide counselling and offer ongoing contraception.

If you would prefer to see your GP first or if you have significant existing medical conditions then please book an appointment. All our doctors realise this can be a difficult decision and will handle the issues with empathy and sensitivity. All the doctors are willing to refer for terminations. We will also happily discuss ongoing contraception.

Insurance, HGV, Taxi, Employment and other Medical Examinations

We are more than happy to undertake medical examinations for our patients and for those where their own GP is unable to do this. We offer dedicated appointments with our GP’s to ensure these are done with the utmost convenience to you.

Charges vary depending on the type of medical and our reception has an up to date list of pricing. In many cases this is paid for by the insurance companies.

Insurance Reports

We happily undertake private reports as requested on our patients once appropriate consent has been demonstrated.

Miscellaneous Forms

We will undertake various other forms as appropriate including passport forms, holiday insurance, fitness to travel, private sick notes. Please note our fees are now payable for these in advance.

Private examinations and Reports

We endeavour to undertake our private work in a timely and efficient manner and we do understand the importance of many of the reports we do.

Travel Vaccinations

If you require any travel advice, vaccinations or anti-malaria treatment you need to collect a form from reception to complete and return at least 2 months prior to your departure date. This will enable our nursing team to personalise appropriate advice and management to meet your needs.

There is further information about countries and vaccinations required on the links below

It is important to make this initial appointment as early as possible - at least 6 weeks before you travel - as a second appointment will be required with the practice nurse to actually receive the vaccinations. These vaccines have to be ordered as they are not a stock vaccine. Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.

Some travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge. This is because not all travel vaccinations are included in the services provided by the NHS.

Sickness Certificates

You do not require a doctor's sickness certificate for any illness lasting seven days or less. Your employer may however require you to complete a self-certification form (SC2) which is available from your employer or on the HMRC website. If your employer insists on a medical certificate to cover up to the first seven days the practice can provide a private sick note at a charge of £20.

Evidence that you are sick

If you are sick for more than seven days, your employer can ask you to give them some form of medical evidence to support payment of SSP (statutory sick pay).

It is up to your employer to decide whether you are incapable of work. A medical certificate, now called a 'Statement of Fitness for Work’ (see below) from your doctor is strong evidence that you are sick and would normally be accepted, unless there is evidence to prove otherwise.

You could also provide evidence from someone who is not a medical practitioner, e.g. a dentist. Your employer will decide whether or not this evidence is acceptable. If your employer has any doubts, they may still ask for a medical certificate from your GP.

Statement of Fitness for Work - ’Fit Note'

The 'fit note' was introduced on 6 April 2010. With your employer's support, the note will help you return to work sooner by providing more information about the effects of your illness or injury.

Connect for Health is a free, confidential and friendly signposting service for people aged 14 and over. We are commissioned by Leeds South & East NHS Clinical Commissioning Group to support people registered with a GP surgery in this area. We can help you to access guidance and support in your local community that is right for you. T

o find out more information or to refer yourself call 0113 387 6380 or visit our website www.connectforhealthleeds.org.uk Your GP can refer you too or book you into one of our clinics at The Grange.

As part of the national cervical screening programme, women from age 25 are invited for cervical screening (smear test).

The test checks for abnormal changes in the cells in the cervix to identify them at an early stage enabling early treatment.

When you receive your letter inviting you for screening, you can book an appointment with a nurse online or by contacting the Practice.

The practice is keen to use technology to benefit patient care and the practice. We have good experience helping to develop our clinical system EMIS Web working with the developer. We have undertaken research around using technology to support self care, and for loneliness.

Patients are able to access aspects of their notes online and can view results, request appointments and repeat medication via an online portal linked from this website. There is a phone app which can also be used for this. We are working to enhance this service while ensuring patient confidentiality is maintained and practice workflows benefit to enable us to provide an enhanced service.

Technology is used in the practices with automated blood pressure machines for patients to use, self check in options and we are exploring how this might be widened. Future services are likely to include clinical triage systems through our website to allow patients to access help and advice 24/7 to either self care or seek the most appropriate help first time. We also are exploring how we may work with patients own technology such as fitness trackers to enhance the support we can provide.

We are aware for some people they find technology intimidating or prefer not to use it and we ensure this does not impact on the care they receive allowing check in with reception, telephone and face to face access with staff and some appointments not available to book online to ensure all have an equal opportunity to be seen.

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